Dicky Andiarsa

ABSTRAK Penyakit infeksi cacing merupakan penyakit terabaikan yang masih tinggi di Indonesia.Sanitasi dan kurangnya perilaku sehat menjadi penentu utama penyakit ini.Atopi yang dinyatakan berkaitan dengan infeksi cacing ini juga cukup tinggi di Indonesia.Atopi atau alergi dikaitan dengan kejadian akut dan kronis infeksi cacing.Gender dan umur diduga berkaitan pula dengan hubungan infeksi cacing dan atopi. Penelitian ini ingin mengetahui keterkaitan gender dan kelompok umur anak sekolah terhadap infeksi cacing dan atopi sebagai bahan pertimbangan kebijakan program pengendalian infeksi cacing pada anak usia sekolah dan mengetahui efek infeksi cacing itu sendiri terhadap timbulnya suatu atopi. Kegiatan penelitian dilaksanakan pada bulan Maret-April 2011 dengan desain penelitian potong lintang.Sampel pada penelitian ini adalah murid kelas 3-5 Sekolah Dasar Negeri Kampung Baru, Kec. Kusan Hilir, Kab. Tanah Bumbu. Setiap anak dibagikan pot tinja untuk mendapatkan tinjanya dan diambil darahnya.Tinja diperiksa keberadaan telur cacing dan darah diambil serumnya untuk diperiksa dengan prosedur ELISA untuk menentukan status atopi.Hasil penelitian menunjukkan bahwa anak laki-laki lebih rentan terhadap infeksi cacing dan atopi, demikian pula anak dengan umur lebih muda, lebih rentan terinfeksi cacing dan menderita atopi dibandingkan dengan anak yang berusia lebih tua.Kedua penyakit berkaitan dengan faktor sanitasi dan perilaku hidup bersih dan sehat.Direkomendasikan untuk meningkatkan program pengobatan infeksi cacing secara menyeluruh setiap enam bulan, meningkatkan sosialisasi perilaku hidup bersih dan sehat, memperbanyak fasilitas cucitangan ditempat-tempat umum, memperbaiki sanitasi lingkungan agar lebih sehat, dan lebih sering melakukan surveilans infeksi cacing pada anak sekolah. ABSTRACT Helminth infection still remain neglected disease which high prevalence in Indonesia. Lacks of sanitation and health behavior are main factors to this disease. Atopy stated correlating with helminth infection which either high prevalence in Indonesia. Atopy or allergy related with helminth infection acute and chronic. Gender and age suggested relating with correlation between helminth infection and atopy.The aim of the study is determined correlation gender and age factor toward helminth infection and atopy as the consideration policy to control this diseases and study the effect of helminth infection to atopy. The cross sectional study held on March-April 2011. Sample wasstudent grade 3-5 at Sekolah Dasar Negeri Kampung Baru, Kec. Kusan Hilir, Kab. Tanah Bumbu. Each child given feces container and their blood drawn up to revealed serum. Feces examined to found worm eggs and serum examined by ELISA to determine the atopic status.The result showed that boys more prone to both helminth infection and atopy than the girls, also the younger children more susceptible to helminth infection and atopi than the older ones. Both diseases related to sanitation and health behavior. Enhanced entire helminth infection cure is advice each six month gradually,increase health behavior education, upgrade the public sanitation in order to give more cleanly and healthy public area, and more often carry out the surveillances progra

District of Kotawaringin Timur, Central Kalimantan Province remain have problem with Dengue Hemorrhagic Fever (DHF), in fact the highest case of DHF in Central Kalimantan Province was on the district. Insecticide usage behavior on household became one of the trigger of mosquito resistance. The study aimed to define the impact of the frequency and adjustment of insecticide usage on household. Study conducted on top three highest of DHF case of local health service. Sampling did in households consecutively until 100 houses for local health service coverageeach. Data gathered such as insecticide usage on household interview, and inspection for existence of Aedes larva/pupae in the household's container. Result showed that free larval indices were low, high frequent prolonged insecticide usage, more than one insecticide usage also found in households. The rotation of insecticide usage gave significant impact toward existence of Aedes larva/pupae in household. Advance study recommend...

Allergy and helminthiasis are having a unique relationship and more need to be studied. Helminthiasis can have' no, positive, or negative relation with allergy. Objective of the study is to identify the relationship between helminthiasis and atopic by determining human total IgE serum and identify historical recall of allergy in childhood. This is a cross sectional study conducted on March-April 2011. The sample were 3-5 grade elementary school children in Sekolah Dasar Negeri Kampung Baru sub district of Kusan Hilir district of Tanah Bumbu, South Kalimantan. Stool and blood serum specimen were collected from the samples. International Study of Asthma and Allergies in Childhood (ISSAC) questionaires were interviewed to their parent. Stools were checked-out through microscope by using Kato technique to found the worm eggs the Human total IgE serum was measured by ELISA. Results of the interview were used to determine allergic status in children. Result showed the percentage of at...

  Penularan kecacingan pada anak usia sekolah dasar dapat terjadi dikarenakan perilaku higiene pribadi yang kurang baik. Salah satu kunci keberhasilan penanggulangan kecacingan adalah dengan memperbaiki perilaku higiene pribadi pada masyarakat terutama pada kelompok yang paling rentan tertular yaitu anak usia sekolah dasar. Penelitian ini bertujuan untuk mengetahui tingkat prevalensi kecacingan pada murid SDN Muara Pagatan Ujung serta mengidentifikasi faktor perilaku anak dalam menjaga kebersihan pribadi yang diduga berisiko terhadap penularan kecacingan. Penelitian dengan desain potong lintang dilakukan di SDN Muara Pagatan Ujung, Kecamatan Kusan Hilir Kabupaten Tanah Bumbu pada bulan Desember tahun 2016. Sampel merupakan total sampling dari seluruh populasi siswa SDN Muara Pagatan Ujung. Data yang dikumpulkan berupa hasil pemeriksaan feses dan hasil wawancara pada siswa.  Diketahui prevalensi kecacingan sebesar 13%. Hasil wawancara beberapa faktor perilaku higiene siswa terhadap k...

Background: Atopy predisposes the marked onset of allergic reaction in vast number of IgE response in the peripheral vessels. IgE is increased in patients with atopy, asthma, atopic dermatitis and helminth infections. This study investigated the characteristics and helmith infections that affect children suffering from atopy based on the value total IgE serum. Methods: The cross-sectional study was conducted in SDN Kampung Baru, Sub district of Kusan Hilir, District of Tanah Bumbu South Kalimantan in March-April 2011. From each child a sample of feces and serum was taken and the data was recorded such as age, sex and parents were interviewed with an ISAAC questionnaire. Feces examined for the presence of worm eggs and ELISA used to determine serum concentrations of total IgE. The collected data were analyzed and presented in descriptive tables 2x2 between two variables. Results: The results of the study showed that the children in the age group 9-11years were more prone to atopy(54%...

There  are  many  medicine  plants  have  been  consumed  by  community  as  a  traditional medicine and believed empirically as anthelmintic  since long  time  ago, such as papaya (Carica  papaya  Linn.).  This  article  compared  anthelmintic  affectivity  between  raw papaya  seeds  and  ripe  papaya  seeds  against  Ascaris  suum  in  vitro. Research  was conducted  in  Parasitology  laboratory  of  Veterinary  Medicine, Airlangga University on June-August  2002.  Ten  worms  were  put  into  chamber  of  treatment respectively 10%, 20%, 30% raw papaya seed; ripe papaya seeds in the same concentrations;  pipperazine  sitrate  0,2%  and  NaCl  0,9%  and  incubated  in  37 0 C  then observed  paralyzed  or died worms every 3, 6, 12, and 24-hour.  Probit  Analysis was used to determine LC50  and  LT50  value. The results  showed  that  raw  papaya  seeds  were  more effective  than  ripe  papaya  seeds  and piperasin  sitrat  based  on  the  time  needed  to  kill  50%  Ascaris  su...

Dengue Hemorrhagic Fever (DHF) is one of the many health problems that occur in Indonesia and it’s increasingly widespread. This study conducted a susceptibility test for mosquitoes Aedes aegypti against insecticides used in the province of South Kalimantan. Larva capture surveys, environmental observations in 300 houses in each districts province (each district represented by 3 endemic health center work areas) in South Kalimantan province. The larvae obtained by reared until the adult mosquito is of the third progeny (F3) and then tested against Malathion insecticide 0.8%). The results of the Malathion susceptibility 0.8%, in 8 districts in the Province of South Kalimantan illustrate the conditions of resistance in all regions. In addition, the results of the susceptibility test showed that the Aedes aegypti mosquito was 0.8% Malathion resistant. Therefore, it is recommended that a program be able to intensify the PSN movement, rotation of insecticide active ingredients, supervisi...

The aim of this research is to determine of transmission risk level of Dengue Haemorrhagic Fever (DHF) endemic area in District of Bone, Municipal of Palopo, and Municipal of Makassar, South Sulawesi Province. Study held in May-June 2015 to 100 households by systematically sampling method in three highest local healthcare center work area in each endemic in District of Bone (Watampone), Municipal of Palopo (Wara), and Municipal of Makassar (Mangasa), South Sulawesi Province. Data analyzed to show the indicators of DHF surveillance (House Index, Container Index, and Breteau Index) and density figure. Data served with the number of larva in each inspected container, percentage and distribution of containers. Free larvae index values of three local healthcare center were Watampone: 53%, Wara: 54%, and Mangasa: 68%. The highest container indices values were local healthcare center of Watampone (17.78%), Wara (17.71%) and Mangasa (15.47%) respectively. According to HI, CI and BI, density...

Abstract. The Local wisdom of society could have the form of knowledge about how to prohibit the disease. One of the society who has that knowledge is Dayak Ethnic at Deyah Village. The Objective of this study is to discover knowledge about traditional medicinal treatment which is related to diarrhea at Dayak Ethnic at Deyah Village in Muara Uya Tabalong Regency South Kalimantan. The method of this research is non intervention descriptive qualitative research and data collecting has done on March– October 2014. The instrument of this study is interview to explore the informant’s knowledge about traditional medicinal treatment ( traditional ingredients ) and the way to make the ingredients. The result of this study is medicine plants which is used by Dayak Ethnic at Deyah Village as antidiarrhea ( in Dayak Deyah Orchard’s langguage is called “Tantaharung” ) they are; guava, lasi/balik angin tree bark ,new stalk of kumala tawar/ pacing, stalk of cashew fruit, and tree bark of ramania....

Abstract. District of Kotawaringin Timur, Central Kalimantan Province remain have problem with Dengue Hemorrhagic Fever (DHF), in fact the highest case of DHF in Central Kalimantan Province was on the district. Insecticide usage behavior on household became one of the trigger of mosquito resistance. The study aimed to define the impact of the frequency and adjustment of insecticide usage on household. Study conducted on top three highest of DHF case of local health service. Sampling did in households consecutively until 100 houses for local health service coverageeach. Data gathered such as insecticide usage on household interview, and inspection for existence of Aedes larva/pupae in the household’s container. Result showed that free larval indices were low, high frequent prolonged insecticide usage, more than one insecticide usage also found in households. The rotation of insecticide usage gave significant impact toward existence of Aedes larva/pupae in household. Advance study rec...

Penggunaan insektisida di masyarakat mengalami peningkatan yang signifikan dalam  beberapa tahun terakhir. Peningkatan ini tidak diimbangi oleh pengetahuan masyarakat dan  kebijakan pemerintah untuk mengatur penggunaannya secara baik dan bijak, yang akhirnya  muncul permasalahan baru seperti meningkatnya residu insektisida di lingkungan,  keracunan, dan risiko serangga resisten. Penelitian ini bertujuan memberikan gambaran  penggunaan insektisida dalam rumah tangga meliputi bahan aktif yang digunakan, dan  lamanya pemakaian insektisida. Penelitian dilakukan di wilayah endemis DBD di Kab. Bone,  Kota Palopo dan Kota Makassar Provinsi Sulawesi Selatan pada Bulan Mei-Juni 2015.  Penelitian dilakukan dengan desain potong lintang dan metode sistematik sampling. Data  dianalisis secara deskriptif dan disajikan dengan frekuensi berdasarkan bahan aktif dan  lamanya penggunaan insektisida. Hasil penelitian menunjukan penggunaan bahan aktif  insektisida di ketiga kabupaten terbesar pada bahan...

ABSTRAK Pemanfaatan air minum isi ulang untuk memenuhi kebutuhan rumah tangga yang semakin meningkat, menyebabkan semakin banyaknya ditemui depo air minum isi ulang yang ada di Kecamatan Batulicin, Kabupaten Tanah Bumbu. Tujuan dari penelitian ini adalah melakukan evaluasi cara pengambilan air pada depo air minum isi ulang dengan dan tanpa desinfeksi alkohol pada lubang tempat keluarnya air isi ulang berdasarkan pemeriksaan bakteriologis air di Kecamatan Tanah Bumbu, Kabupaten Batulicin. Pengumpulan sampel dilakukan pada bulan Juni 2015. Sebanyak 5 sampel air dari depo air isi ulang yang berbeda berhasil diperoleh. Pengambilan sampel pada 3 depo di desa Gunung Tinggi dilakukan dengan menggunakan desinfeksi alkohol pada lubang keluarnya air, sedangkan pada 2 depo lainnya di desa Kersik Putih tidak menggunakan desinfeksi alkohol pada lubang keluarnya air. Pemeriksaan mikrobiologis air yang dilakukan meliputi MPN, TPC, media selektif, pewarnaan gram dan biokimia. Berdasarkan hasil peme...

Fasciolopsiasis is a parasitic infection caused by the flatworm Fasciolopsis buski. Since 1982, fasciolopsiasis has been reported in Indonesia's Hulu Sungai Utara (HSU) Regency, South Kalimantan Province. Fasciolopsiasis occurs when contaminated raw or undercooked aquatic plants are consumed. Cercariae of the parasite encyst in a variety of aquatic plants and grow into metacercariae that infect and reproduce in the human intestine. Until now, treatment for F. buski infection in the HSU Regency has been comparatively short, with patients receiving only a single dose of praziquantel, 30 mg/kg body weight, without further observation. A long-term effort through health promotion activities and intensive health education, particularly for elementary school children enrolled in the School Health Program, is ongoing to help prevent fasciolopsiasis from spreading and to improve environmental sanitation. Through 2018, intervention efforts successfully reduced the incidence of F. buski in...

Background: The threat of outbreaks of infectious diseases is getting significant attention worldwide, and WHO requires all countries to increase early awareness and respond quickly. Indonesia has built a system called the Early Warning Alert and Response System (EWARS) which may detect any threat of an indication of an infectious disease outbreak computerized reported weekly. Purpose: This study aims to evaluate to systematically assess the data management and reporting system for implementing the EWARS. Methods: The evaluation research conducted interviews with EWARS officers at all levels of the Health Office in Tanah Bumbu District in September-November 2020. This study evaluated the implementation of EWARS, which was variable was a verification of reporting data and a management system with descriptive analysis using a spreadsheet instrument. Results: The instrument results showed that the strengths and weaknesses of SKDR implementation data management lie in the low ability of...

Background Malaria remains a significant public health concern in Indonesia. Knowledge about spatial patterns of the residual malaria hotspots is critical to help design elimination strategies in Kotabaru district, South Kalimantan, Indonesia. Methods Laboratory-confirmed malaria cases from 2012 to 2016 were analysed to examine the trend in malaria cases. Decomposition analysis was performed to assess seasonality. Annual spatial clustering of the incidence and hotspots were identified by Moran's I and the local indicator for spatial association, respectively. Results The annual parasite incidence of malaria was significantly reduced by 87% from 2012 to 2016. Plasmodium vivax infections were significantly much more prevalent over time, followed by Plasmodium falciparum infections (p<0.001). The monthly seasonality of P. vivax and P. falciparum was distinct. High incidence was spatially clustered identified in the north, west and parts of south Kotabaru. Two persistent and four...

ABSTRACTDiarrhea has been long a public health concern in the world especially to infants and children. Diarrhea can be caused by many factors including sanitation, clean and healthy behavior, and access to clean water, consumption of drinking water and food, and so on. The results of the research in Tanah Bumbu Regency stated that some of the main causes related to the incidence of diarrhea in Tanah Bumbu Regency included Sanitation, Healthy and clean behavior, clean water access, and drinking water access. Secondary data analysis held to define the scheme of drinking water consumption in families with diarrhea patients in Tanah Bumbu Regency. The result showed that the most families with diarrhea consumed refill drinking water (67.06%) with most of them did not do any pre-treatment to the water (81.55%). The water consuming pattern has been changed to community of Tanah Bumbu Regency by consuming refilling water. Processing (boiling) refilling water before drinking can reduce the ...

Diarrhoegenic E. coli (DEC) merupakan kelompok strain E. coli patogenik yang diketahui menjadi salah satu penyebab penyakit diare. Kasus diare masih cukup tinggi di negara-negara yang sedang berkembang seperti Indonesia. Di Kabupaten Tanah Bumbu Kalimantan Selatan khususnya di wilayah kerja Puskesmas Batulicin dan Pagatan memiliki angka kasus diare yang masih fluktuatif. Penelitian ini bertujuan mendeteksi DEC pada sampel feses penderita diare di wilayah kerja Puskesmas Batulicin dan Pagatan dengan pemeriksaan PCR. Desain penelitian Cross Sectional dengan jumlah sampel feses sebanyak 15, dikumpulkan selama 3 bulan (Agustus - Oktober 2018). Sampel feses diperiksa menggunakan PCR untuk mendeteksi keberadaan strain DEC yakni EAEC, ETEC, dan EPEC serta EHEC. Tiga dari lima belas (20%) sampel diketahui positif DEC. Strain ETEC ditemukan pada 2 sampel (0,13%), masing-masing dari Puskesmas Batulicin dan Puskesmas Pagatan, sedangkan strain EPEC dan EAEC ditemukan pada 1 sampel (0,07%) yang ...

Dengue hemorrhagic fever is one of the main problems in Indonesia, its handling on chemical insecticides with insecticide resistance constraints that can inhibit vector control efforts. Entomopathogenic fungi especially Metarhizium anisopliae is one of bioinsecticides that has been widely used in agriculture for controlling insect attacks, effective in killing mosquitoes, safe for vertebrates, humans and the environment and has a small risk of resistance. Appropriate methods of formulation and application for M. anisopliae infection to mosquitoes suitable for mosquito bionomic and fungus characteristics are required. Experimental research with complete randomized design was conducted to test the efficacy of.  M.anisopliae solution mixed olive oil and honey formula applied to ovitrap, plant trap and black cotton trap in infecting adult female Ae. aegypti. The death of Ae.a egypti and fungal growth on kadaver was observed everyday. 100% Ae. aegypti death was obtained in the ovitrap me...

Diarrhea is still a health problem in Indonesia especially those that occur at the age of toddler or children because it can cause mortality. The objective of this study was to find out the relationship among mother knowledge with occurrence diarhea and relationship habit of mother toddler in cook household drinking water with occurrence diarhea of toddler were get medical treatment in Baringin public health center. This study was analytic method with cross sectional approach and data collected by questionnaire. This study were get 80 respondent mother who had brought their toddlers at Baringin public health centers in the period January-July 2014 and domiciled in  the Baringin public health center work area .The result of statistic used chi square of obtain that was a relationship between knowledge with occurrence diarhea (P = 0,000 < α = 0,05) and relationship between habit of mother toddler in cook household drinking water with occurrence diarhea of toddler were get medical tr...

Filariasis has been a public health problem in Indonesia for a long time and WHO has established this disease as a neglected disease which is a public health problem in the world, therefore a global filariasis elimination program that must be achieved in 2020. This article compiles some literature for writing references related to the development of global filariasis elimination and the progress of filariasis elimination in Indonesia particularly.  Filariasis elimination program in Indonesia has been running at least 26 districts that have stopped implementing mass drug administration (MDA) from 239 endemic filariasisdistricts. The remaining districts are expected to have implemented MDAstart from 2015 so that the year 2020 is completed and verified also given predicates of filariasis elimination according to global target of filariasis elimination. Management-based and community-based research is important to determine the best model of elimination. There are still many challenges ...

Abstrak. Penyakit limfatik filariasis dan dirofilariasis berpotensi zoonosis di Indonesia. Kurangnya data tentang dirofilariasis pada manusia dan hewan menjadi dasar alasan dilakukannya studi ini menggunakan metode studi observasional dengan desain potong lintang. Sebanyak 201 hewan reservoir digunakan pada penelitian ini, yaitu kucing rumah (Felis catus), lutung (Presbytis cristatus), monyet ekor panjang (Macaca fascicularis), kucing hutan (Felis silvestris) dan anjing (Canis familiaris) di dua daerah endemis filariasis, yaitu Kabupaten Hulu Sungai Utara (HSU) dan Kabupaten Kotawaringin Barat (KOBAR), Kalimantan. Pengambilan darah hewan melalui vena dilakukan pada malam hari. Keberadaan mikrofilaria dalam darah dideteksi melalui preparat ulas darah tebal dan tipis. Hasil penelitian menunjukkan bahwa 21%  dan 28,7% hewan reservoir di Kabupaten HSU dan KOBAR secara berurutan terinfeksi mikrofilaria. Hewan domestikasi yang terinfeksi mikrofilaria lebih banyak dibandingkan dengan hewan...

Lalat merupakan serangga yang kehidupannya dekat dengan manusia dan seringkali dikaitkan dengan masalah sanitasi dan perilaku hidup bersih dan sehat (PHBS). Dukungan program masih kurang dalam hal pengendalian vektor lalat. Artikel ini berupa studi literature review yang membahas peranan lalat sebagai hama pengganggu dan vektor penyebar berbagai penyakit, kepentingannya sebagai target program, pencegahan dan pengendalian lalat, serta situasi program terkait pengendalian lalat. Beberapa studi menyebutkan bahwa lalat dapat mengandung banyak jenis mikroba patogen dalam tubuhnya sekaligus. Sebagian besar patogen pada tubuh lalat adalah bakteri, jamur, virus, dan parasit cacing. Lalat juga berkontribusi terhadap penyebaran bakteri yang resisten terhadap antibiotik. Strategi paling efektif dalam menurunkan populasi lalat adalah perbaikan sanitasi lingkungan dan perbaikan pola perilaku hidup bersih dan sehat. Dukungan program diharapkan dapat meningkatkan layanan pengendalian vektor lalat ...